Unique bone marrow blood vessels couple angiogenesis and osteogenesis in bone homeostasis and diseases

Ann N Y Acad Sci. 2020 Aug;1474(1):5-14. doi: 10.1111/nyas.14348. Epub 2020 Apr 3.

Abstract

Blood vessels serve as a versatile transport system and play crucial roles in organ development, regeneration, and stem cell behavior. In the skeletal system, certain capillaries support perivascular stem cells or osteoprogenitor cells and thereby regulate bone formation. Recent studies reported that a specialized capillary subtype, termed type H vessels, is shown to couple angiogenesis and osteogenesis in rodents and humans. They can be distinguished by specific cell surface markers, as the endothelial cells in the metaphysis and endosteum highly express the junctional protein CD31 and the sialoglycoprotein endomucin. Here, we provide an overview of the role of type H vessels in bone homeostasis and summarize their linkage with various cytokines to control bone cell behavior and bone formation. We also discuss the potential clinical application for bone disorders by targeting these specific vessels according to their physiological and pathobiological settings.

Keywords: angiogenesis; bone disorders; bone homeostasis; osteogenesis; type H vessels.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Blood Vessels / cytology*
  • Bone Diseases / pathology
  • Bone Marrow / blood supply*
  • Bone and Bones / blood supply
  • Humans
  • Neovascularization, Pathologic / pathology
  • Neovascularization, Physiologic / physiology*
  • Osteogenesis / physiology*
  • Stem Cells / cytology*